提高产妇分娩自我效能感的临床实证研究

目的对构建的提高产妇分娩自我效能感的团体心理咨询方案进行实证研究。方法以第一次产检的先后顺序为标准，将被试随机分为实验组和对照组各36例，对照组予以常规的产科检查，实验组除接受常规的产科检查外，再进行提高分娩自我效能感的团体咨询干预。应用一般自我效能感量表、自编分娩自我效能感量表、妊娠压力量表分别于干预前后对两组产妇进行测评，并观察两组的分娩情况。结果团体心理咨询可使实验组被试的一般自我效能感和分娩自我效能感得以提高（均P〈0．001）；团体心理咨询降低了实验组被试的妊娠压力水平（P〈0．001）。结论团体心理咨询可提高产妇的分娩自我效能、降低妊娠压力。

The Clinical Empirical Research on Improving Childbirth Self-Efficacy of Parturient

Objective This study examined the empirical impact of group counseling on childbirth self-efficacy of parturient. Methods Participants was randomly divided into experimental or control group according to the order of the first antenatal examination. Thirty-six patients in the control group received routine obstetric examination, and the other 36 patients in the experimental group received both the routine obstetric screening and the group counseling intervention on the delivery of self-efficacy. The general self-efficacy scale, childbirth self-efficacy scale and stress scale were mesaured before and after the intervention in both groups and delivery conditions were observed. Results Statistical results indicated group counseling was helpful in enhancing self-efficacy and childbirth self-efficacy （ P 〈 0. 001 , P 〈 0. 001 ） , as well as in alleviation prenatal anxious and pregnancy pressure （P 〈 0. 001 ）. Conclusion Group counseling is helpful in enhancing self-efficacy and childbirth self-efficacy and alleviation of prenatal anxious and pregnancy pressure.